Correlation between socio-cognitive factors and intention to engage in premarital sex among late adolescents in Kuantan government secondary schools /

The consequences of adolescents in early involvement with sexual activity include sexually transmitted diseases, unwanted pregnancy, and unsafe abortion. Thus, this study aims to identify the socio-demographic and socio-cognitive factors (permissive attitude, social norms, and self-efficacy) associa...

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Bibliographic Details
Main Author: Nurul Akmanidar binti Zainuddin (Author)
Format: Thesis
Language:English
Subjects:
Online Access:http://studentrepo.iium.edu.my/handle/123456789/9807
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Summary:The consequences of adolescents in early involvement with sexual activity include sexually transmitted diseases, unwanted pregnancy, and unsafe abortion. Thus, this study aims to identify the socio-demographic and socio-cognitive factors (permissive attitude, social norms, and self-efficacy) associated with intention to engage in premarital sex among school-going late adolescent in Kuantan, Pahang. This cross-sectional study was conducted among students aged 18 to 19 years-old from nine government secondary schools in Kuantan district between March-June 2018. A total of 466 unmarried students responded to this topic using a self-administered validated Youth Sexual Intention Questionnaire (YSI-Q). Statistical analyses were done using IBM SPSS version 22.0. The results showed most of the participants were females (64.4%), Muslims (68.2%) and Malays (67.4%). Prevalence of premarital sex among school-going late adolescent was 1.5% predominantly by males (85.7%). Simple logistic regression on socio-cognitive factors showed for every one-unit increase in permissive attitude, social norms and self-efficacy scores, there were 1.424, 1.303 and 1.215 times increase the risk of having sexual intention, with the p-values and 95%CI of OR of 0.001, 1.268-1.600; 0.001, 1.191-1.425 and 0.001, 1.066-1.386, respectively. In the multivariate logistic regression, again being female was identified as having a lower risk to have sexual intention compared to male (p=0.001, OR=0.168, CI: 0.058-0.462).In contrary, non-Malay students had a higher risk compared to Malay students and ever smoke students had higher risk as compared to non-smoker students towards having sexual intention (p=0.001, OR=5.110, CI: 1.881-13.886 and p=0.019, OR=3.288, CI: 1.218- 8.875, respectively). Lastly, for each one-unit increase in permissive attitude score, there were 1.236 times increase risk of having sexual intention (p=0.002, OR=1.236, CI:1.084-1.410). In conclusion, the risk of having sexual intention was found to be higher among males, non-Malay students as well as higher among ex-smoker compared to non-smoker students and among those with higher permissive attitude scores. Therefore, further study and peer education intervention programs are needed for school-going adolescents, especially among male students to improve their attitude and prevent risky behavior.
Item Description:Abstracts in English and Arabic.
"A thesis submitted in fulfilment of the requirement for the degree of Master of Medicine (Family Medicine)." --On title page.
Physical Description:xiii, 99 leaves : illustrations ; 30cm.
Bibliography:Includes bibliographical references (leaves 70-78).